Provider Demographics
NPI:1689857765
Name:SINCERE CLIENT CARE SERVICE
Entity Type:Organization
Organization Name:SINCERE CLIENT CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAXTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-865-2311
Mailing Address - Street 1:3321 YOUREE DR
Mailing Address - Street 2:SUITE J
Mailing Address - City:SHREVEPORT
Mailing Address - State:LA
Mailing Address - Zip Code:71105-2123
Mailing Address - Country:US
Mailing Address - Phone:318-865-2311
Mailing Address - Fax:318-865-2312
Practice Address - Street 1:3321 YOUREE DR
Practice Address - Street 2:SUITE J
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71105-2123
Practice Address - Country:US
Practice Address - Phone:318-865-2311
Practice Address - Fax:318-865-2312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-11
Last Update Date:2007-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health